Provider Demographics
NPI:1851965305
Name:HEALTHLINK LLC
Entity Type:Organization
Organization Name:HEALTHLINK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOFFREE
Authorized Official - Middle Name:JUNTILLA
Authorized Official - Last Name:BASILISCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:150-254-2205
Mailing Address - Street 1:501 WIDENER LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46614-3233
Mailing Address - Country:US
Mailing Address - Phone:502-542-2054
Mailing Address - Fax:
Practice Address - Street 1:501 WIDENER LN
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46614-3233
Practice Address - Country:US
Practice Address - Phone:502-542-2054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)